Organization Active NPI

Village of Somers

  • Land Ambulance
  • Kenosha, WI
National Provider Identifier
1366817678
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
6001192 Issued in WI
Legal business name
VILLAGE OF SOMERS
Doing business as
Somers Rescue Squad
Practice address
7511 12TH St
Kenosha, WI 53144-7220
Phone
(262) 859-2822
NPI assigned
Dec 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jodin Froeber
Title
Deputy Fire Chief
Phone
(531) 895-5853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 6001192 WI Primary

Addresses

Primary practice location

7511 12TH St
Kenosha, WI 53144-7220

Mailing address

10802 Farnam Dr
Omaha, NE 68154-3237

Other names 1

  • Somers Rescue Squad Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161004000640 WI Part B Supplier - Ambulance Service Supplier 2668760877 Practice locations: Kenosha, WI

National Provider Directory

National Provider Directory

Locations

7511 12th St
Kenosha, WI 53144
Phone (262) 859-2822

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1366817678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10802 FARNAM DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7511 12TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531447220",
            "telephone_number": "262-859-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF SOMERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "FROEBER",
        "authorized_official_first_name": "JODIN",
        "authorized_official_title_or_position": "DEPUTY FIRE CHIEF",
        "authorized_official_telephone_number": "531-895-5853"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6001192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Somers Rescue Squad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.